Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jefferson County (NPI 1336278050)

Field	Value
Entity Type	Organization
Organization	Jefferson County
Address	1541 Annex Rd
City	Jefferson
State	WI
ZIP	53549
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$18M
Medicare	$0

Key Findings

JEFFERSON COUNTY is a community/behavioral health agency by taxonomy and its Medicaid billing profile is dominated by psychosocial rehabilitation services, consistent with that service-line focus. The single largest code, H2017 (Psychosocial rehabilitation services, per 15 minutes), generates $15.3M in revenue and 154.2K claims at an average paid per claim of $99, which signals a high-volume PSR operation delivering repeated, time-based outpatient support.

Medicaid revenue is the sole payer exposure of material scale for this entity: there is no Medicare billing on file and lifetime Medicaid revenue totals $18M, making the organization effectively single-payer (Medicaid) in scope for the available claims data. This concentration means revenue movement will be closely tied to Medicaid policy and reimbursement changes rather than Medicare trends.

Revenue concentration on a very small code set is pronounced: the precomputed top-3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, with H2017 alone representing 85.0% and 99199 representing 15.0%. That degree of concentration indicates limited diversification of billed services and exposure if utilization or payment for those codes shifts.

The secondary code, 99199 (other medicine services or procedures), contributes $2.7M from 37K claims at an average paid per claim of $73; its role is substantial but clearly secondary to H2017. Both codes together explain the full $18M Medicaid revenue and suggest the provider bills a combination of standard psychosocial rehabilitation units and miscellaneous or unlisted service items recorded under 99199.

Competitive standing within the state is modest: H2017 ranks #17 of 58 providers in-state (72th percentile) and 99199 ranks #15 of 57 providers in-state (75th percentile), and both are described as "typical, unremarkable volume for this code." These rank/percentile positions imply the provider is an established, mid-tier participant for its key service lines rather than a dominant statewide leader.

The labeling of both top codes as "typical, unremarkable volume for this code" indicates neither code is a statistical outlier in the dataset; utilization patterns appear consistent with peer providers rather than unusually high or low. For payers and analysts, this reduces immediate red-flag concern but underscores that strategic change would likely need to come from service expansion or diversification rather than current-code optimization.

JEFFERSON COUNTY has long tenure in the NPI registry, enumerated on 2007-03-06 (~19 years ago), which supports interpreting its billing profile as an established practice pattern rather than a transient or newly formed operation. That longevity combined with the concentrated Medicaid revenue profile frames this entity as a stable, Medicaid-focused behavioral health provider with service delivery concentrated on PSR and a modest mix of other billed medicine services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	154,200	$100	$15.3M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	37,020	$70	$2.7M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Jefferson County — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	17	60	57,750	$100	$18.9M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	15	60	16,890	$60	$2.9M

Nearby Providers

Other providers in the same ZIP code as Jefferson County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson County	WI	Case Management Agency	$0	$5.9M
Jefferson County	WI	Community/Behavioral Health Agency	$0	$3M
Rainbow Hospice Care, Inc.	WI	Community Based Hospice Care Agency	$0	$2.9M
City Of Jefferson	WI	Land Ambulance	$161.6K	$81.6K
Wal-mart Stores East LP	WI	Community/Retail Pharmacy	$160.3K	$2K
Sarah Stewart	WI	Family Nurse Practitioner	$38.1K	$0

Jefferson County — Billing Profile & Reimbursement Data

Sign up for Jefferson County — Billing Profile & Reimbursement Data policy alerts

Jefferson County — Billing Profile & Reimbursement Data

Sign up for Jefferson County — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References